Dr. Frederick Vernon Ballard JR.
Pediatric Dentist
501 White Horse Pike
West Collingswood
, New Jersey 08107-1729
Dr. Frederick Vernon Ballard JR.
Pediatric Dentist
501 White Horse Pike
West Collingswood
, New Jersey 08107-1729
(856) 854-1509
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Frederick Vernon Ballard JR.
- 501 White Horse Pike
- West Collingswood, NJ
- Zip : 08107-1729
- Phone : (856) 854-1509
Second Address
- Dr. Frederick Vernon Ballard JR.
- 501 White Horse Pike
- West Collingswood, NJ
- Zip : 08107-1729
- Phone : (856) 854-1509
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Is Dr. Frederick Vernon Ballard JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 22DI02447500 | NJ |
National Provider Identifier
| NPI | 1003061276 |
|---|---|
| Provider Name | Dr. Frederick Vernon Ballard JR. |
| First Address | West Collingswood, NJ 08107-1729 |
| Second Address | West Collingswood, NJ 08107-1729 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2008 |
| Last Update Date | 07/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.